Abstract
The established surgical technique for lesion of the anterior cruciate ligament (ACL) is reconstruction with an autologous tendon. However, patients after ACL-replacement have increased osteoarthritis rates. Possible explanations are persistent knee instability and the loss of the ACL's proprioceptive function. Therefore, surgeons have developed an alternative treatment to preserve the ACL by readapting femoral ACL lesions by temporary protective dynamic intraligamentary stabilisation (DIS). The indication includes acute (< 21 days old) ACL injuries of young patients who are active in sport. The rupture should be located in the proximal third of the ACL with a side-to-side interval of more than 5 mm in the antero-posterior tibial translation. In this video, a 22-year-old patient with an ACL lesion was operated three weeks after injury. Readapting femoral ACL lesions by DIS is an adequate technique to preserve the ACL and to restore knee stability.
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